Text book of veterinary medicine, Volume 4 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 4 (of 5)
Law, James
Veterinary medicine
When _pulmonary lesions_ are extensive, the bronchial mucosa is not only
softened, opaque and covered with a serous, or muco-purulent discharge,
but deeply congested and petechiated. When the chest is opened there is
usually an effusion, pale straw, red or bloody and more abundant than in
contagious pneumonia. False membranes may exist and show a blackish tint
from extravasated blood. The lung fails to collapse and shows on the
surface and throughout its substance petechiæ and small black
infarctions. In some instances the whole lung is blood gorged, black,
almost jelly like, as in acute congestion. In others these are limited
infiltrations, concentrated especially in the anterior and lower parts,
and almost invariably affecting both right and left lungs. The
infiltration is circumscribed in area in comparison with the attendant
fever and constitutional disturbance, resembling in this respect, the
lesions of contagious pneumonia. It differs however in having a greater
tendency to liquid infiltration of the connective tissue, and but for
the lack of such tissues in the horse’s lung it would tend to
approximate to the lesions of lung plague in cattle. It shows a distinct
thickening of the interlobular septa, a tendency to extension to the
pleura, and to issue in pleural and subpleural infiltration, and to a
more copious effusion into the pleural cavity than in either fibrinous
or contagious pneumonia. The lung tissue may be granular and hepatized,
but far more frequently it is only splenized, the lung being the seat of
a bloody infiltration, yet retaining much of its elasticity and
coherence. Portions may be infarcted and black and large areas may have
a pale or parboiled appearance, and gangrene is by no means uncommon.
_Diagnosis._ This is based largely on the suddenness of the attack, its
epizoötic character, the numbers attacked in rapid succession, and over
a large area as contrasted with contagious pneumonia, the sudden and
extreme prostration and weakness, the swelling, watering and
discoloration of the eyes, the mildness of the average case, the
congestion of the upper air passages, and in the mild cases a
comparative immunity of the lungs, the irritability or congestion of the
gastro-intestinal mucosa, and the history of the case:—the arrival of
the infected horses within a few days from an infected place, or coming
through infected channels, or the attack of new arrivals in a previously
infected stable, or the known advance of the disease towards the place
where the patients are, will usually serve to mark the true nature of
the affection.
As a help to correct diagnosis we give below some of the prominent
conditions and phenomena of the three forms of lung disease known as
_fibrinous pneumonia_, _contagious pneumonia_, and the _pneumonia of
equine influenza_:
=Pneumonia=: =Pneumonia=: =Pneumonia=:
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